PCA TRAINING MANUAL - My Brothers' Keeper

1 PCA TRAINING . MANUAL . The purpose of this MANUAL is to provide you with the basic information necessary to complete person care skills as required by Department of Human Services Minnesota Rule (Personal Care Assistant). Upon completion of this TRAINING , the participant will have an understanding of the basic principles of caring for clients in their home. These include: MODULE #1 - OVERVIEW OF THE PCA PROGRAM AND PEOPLE. MODULE #2 - EMERGENCIES: BE PREPARED. The Basics . 6. Medical Emergencies 7. Non-Medical Emergencies 10. MODULE #3 - INFECTION CONTROL AND STANDARD PRECAUTIONS.

2 Infection Control 11. Hand Washing 13. Standard Precautions .. 14. MODULE #4 - BODY MECHANICS. Body Mechanics . 15. MODULE #5 - UNDERSTANDING BEHAVIORS. Understanding Challenging Behaviors .. 17. MODULE #6 - PROFESSIONAL BOUNDARIES, CHILD AND VULNERABLE ADULT MALTREATMENT. Professional Boundaries 18. Maltreatment . 19. MODULE #7 TIMECARDS AND DOCUMENTATION. Timecards .. 20. MODULE #8 FRAUD. Fraud .. 21. MODULE #9 - STRESS, PERSONAL SELF-CARE AND SUPPORT FOR THE PCA ROLE. Understanding Stress . 23. MODULE #10 DATA PRACTICES. Data Practices .. 24. Personal Care Assistant Resources learning will be accomplished by reading through this self-learning MANUAL , taking and successfully passing the DHS PCA certification test.

3 Acknowledgements: The publication of this TRAINING is taken directly from the on-line Individualized PCA TRAINING user guide on the DHS website. PCA test and VAMR test for certification is also located on the DHS website at: =LatestReleased&dDocName=dhs16_151238. MODULE #1 OVERVIEW OF THE PCA PROGRAM AND PEOPLE. PCA Process - Services begin with the person. People who may receive PCA services include children, adults and elders. An assessor completes and assessment of the person's strengths and needs to identify what supports are needed. The assessor works with the person or responsible party to develop a service plan for the different supports the person may need.

4 A responsible party provides guidance when a person is not able to direct personal needs. The responsible party signs timesheets and assists with any decision-making on a daily basis. All persons under age 18 must have a responsible party. The assessor determines if a responsible party is needed at the time of the assessment. Selecting an Agency - The person or responsible party chooses the agency that will provide the PCA services after the service plan is complete. A Personal Care Provider Organization (PCPO) is an agency that will assign a PCA to the person.

5 A PCA Choice Agency gives the person or responsible party the option to hire and train the PCA. The PCA then becomes and employee of the PCA Choice Agency. The agency provides TRAINING to the PCA on billing and agency rules. The PCA must follow the agency rules, policies and procedures. Care Plan - The agency has a qualified professional (QP) oversee the care plan of each person. The qualified professional works with the person or responsible party to develop a care plan that details each service that will be provided including: How the services will be delivered.

6 When the services will be delivered. Where the services will be delivered. Who will deliver the services. There are many people who are part of the team. Besides the assessor who provides the assessment, the PCA agency and a qualified professional (QP), have specific roles to play. The person may also have help from family and friends. Other services providers include: Home care nurses Physical or speech therapists Providers of medical equipment Transportation providers Most often, PCAs provide support to an individual in the person's home. PCAs may also provide services at the person's place of work or other places the person might go to be involved in community life.

7 Roles and Responsibilities - A PCA is a person who performs and assists with routine tasks of daily living for persons with disabilities and special health needs. These are tasks the person would perform if able. In general, you rule as the PCA, is to assist a person to be as independent as possible. PCA duties fall within four categories of services. 1. Activities of daily living (ADLs). 2. Health related procedures and tasks. 3. Observation and redirection of behaviors. 4. Instrumental activities of daily living (IADLs) for people 18 years and older.

8 1. Activities of daily living (ADLs) include the following: Bathing Dressing Eating Grooming Mobility 1. Positioning Toileting Transfers 2. Health related procedures and tasks - Licensed health care professionals may assign PCAs to complete certain health related tasks for people under state law. The qualified professionals must be a registered nurse (RN) when the PCA is doing health-related procedures and tasks. 3. Observation and redirection of behaviors - PCAs may be required to observe and monitor the behavior of people. PCA may do verbal redirection.

9 4. Instrumental activities of daily living (IADLs) for people 18 years and older - PCA services may be used for assistance with IADLs if the person has been assigned help with ADLs in the care plan. IADLs include: Accompany to medical appointments Accompany to participate in the community Assist with paying bills Communicate by telephone and other media Complete household tasks integral to the PCA services. Plan and prepare meals Shop for food, clothing and other essential items. A PCA may accompany a person to a community activity if the activity is included in the care plan.

10 Accompany means to "ride along" if the person uses public transportation and will need help upon reaching the location. PCA agencies must approve any other transportation prior to the event. There is no PCA reimbursement for mileage for transportation. PCA Provider Agency offers personal care assistance (PCA) services to people. These agencies hire the PCAs and qualified professionals (QP). They also bill for the services provided. All agencies are enrolled as MN Health Care Programs (MHCP). providers and include: Personal Care Provider Organization (PCPO).